| NPI | 1689240483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIAKA A BOLARINWA President/ Medical Director 856-282-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-05-25 |