| NPI | 1316366768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE WILLIS Therapist 856-546-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00346500) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |