| NPI | 1720742588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL HIERS Owner 609-705-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-12-08 |