| NPI | 1548880941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTEOSBORNE OSBORNE CEO 856-357-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2022-08-02 |