| NPI | 1548384530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR M MAYFIELD Clinical Director 856-235-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00033600) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2015-04-09 |