| NPI | 1720787195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BRUNER CEO 856-383-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |