| NPI | 1740153717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GROVE Owner/Licensed Clinical Psychologis 856-812-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |