| NPI | 1407438823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN KOCH CEO 609-709-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-02-28 |