| NPI | 1487393120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ACQUAVELLA-LIGHTFOOT Psychologist/Director 856-210-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |