| NPI | 1316344112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MILAGRO VELEZ CEO 856-966-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NJ 2000456) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 2000456) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 2000456) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |