| NPI | 1598883704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A. IGLE Director 856-696-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00186400) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00081500) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |