| NPI | 1306165204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN N SMITH Executive Director 856-963-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 10115-02-04) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |