| NPI | 1497149041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB NWOSU Manager 856-776-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 26NJ00315300) |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2015-08-07 |