| NPI | 1477941714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK PHILIP MANCUSO Clinical Director 856-396-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ PC000679) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |