| NPI | 1326312018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY NAOMI Admin 609-613-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |