| NPI | 1720816432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MELLON Director Of Regulatory Compliance & 856-282-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |