| NPI | 1316398852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KING Psychologist 857-288-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 9599) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-09-18 |