| NPI | 1740691443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L RIDDLE CEO 856-772-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 401180204) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |