| NPI | 1386453702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTEE THOMAS Officer 609-668-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2025-09-23 |