| NPI | 1386534741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEEL SIDDIQUI Manager 856-264-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TH0100X Psychologist, Health Service | |
| 207R00000X Internal Medicine | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |