| NPI | 1609696350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MARIE DELRE Owner 609-649-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |