| NPI | 1447525597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENINE MICHELE BLOUNT Therapist 609-396-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00426300) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |