| NPI | 1750776282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JOY-MARIE WITHERSPOON Acct Manager 856-481-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00864100) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2017-03-30 |