| NPI | 1619010915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE PRIORI Medical Director 856-825-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 26NP01923600) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |