| NPI | 1639681729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DIDONATO President 856-209-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA PC008460) |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |