| NPI | 1437643921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUISTA S ERINNA Owner/Therapist 609-832-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-08-27 |