| NPI | 1720314024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LYNN DIXON Clinical Director 856-424-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 10053-01-05) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |