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 |