| NPI | 1588499495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE D DICKERSON CEO 609-707-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 106S00000X Behavior Technician | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP2400X Clinic/Center Prison Health | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-06 |