| NPI | 1750576260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE ANGELO Manager 609-586-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |