| NPI | 1447439781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MICHELE SHAITELMAN Clinician 609-929-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 70924) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-15 |