| NPI | 1679898092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE TROUT Director Of Clinical Services 856-810-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |