| NPI | 1619764131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHAUB MARKIE SAINT VALLIER Director 609-509-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |