| NPI | 1417466996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SPEED CEO 609-778-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-06-16 |