| NPI | 1326656182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M HARDENBROOK Therapist 609-634-9894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-21 |