NPI | 1356054266 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD GEORGE BOCKARIE Clinical Therapist 856-562-1446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
Enumeration Date | 2023-01-05 |
Last Update Date | 2023-01-05 |