| NPI | 1700379054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DOWDELL Executive Director 856-541-9212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |