| NPI | 1477687812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE - WITHERSPOON Intensive Within Community Provider 856-573-7742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 0059986) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |