| NPI | 1598883704 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EDWARD A. IGLE Director 856-696-7356 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00081500) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00186400) | 
| Enumeration Date | 2007-03-26 | 
| Last Update Date | 2025-09-11 |