| NPI | 1326173477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE FREDERICKS Clinical Director 856-269-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05226600) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2025-08-28 |