| NPI | 1407615602 |
|---|---|
| Other Name | DENISE BOTT |
| Entity Type | Organization |
| Authorized Contact | DENISE BOTT Owner 856-553-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |