| NPI | 1477121028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARTELLO Owner 856-267-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-10-01 |