| NPI | 1710367099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE TY VERNAMONTI Chief Executive Officer 856-696-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |