| NPI | 1255922639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJENNETT CORRY Owner 856-725-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-09-17 |