| NPI | 1487165221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KNOCKE Owner 609-780-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |