NPI | 1659169001 |
---|---|
Entity Type | Organization |
Authorized Contact | JALESAH BROOKS Owner/Founder 856-533-0477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-04-28 |
Last Update Date | 2025-04-28 |