| NPI | 1720121106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CRIPPS CFO 856-348-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-12-06 |