| NPI | 1275958340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA SPARROW Owner 856-298-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 374PC00371200) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |