| NPI | 1295006344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONI FREEMAN Apn 856-885-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 26nj00332200) |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |