| NPI | 1649475047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN N SMITH Executive Director 856-963-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 22450) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 101150204) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |