| NPI | 1487025094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY A FORKA CEO 609-598-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD AC001470) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R219171) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2024-09-24 |