| NPI | 1396958476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE ANN DAVIES President Exec Director 609-394-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 44SL05242800) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 37PL00330900) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 37PC00162100) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |