| NPI | 1407103641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE TRAVIS President/CEO 856-904-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |