| NPI | 1497120984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAREA FARMER Manager 856-389-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05650200) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |