| NPI | 1629250295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE OWEN-FABRICIUS President 856-673-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 26NC06968800) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |