| NPI | 1558763540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN COLE Vice President Of Support Services 856-858-9314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2000171) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |