| NPI | 1780930164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA VERZEL BAXTER Psychotherapist 609-919-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37AC00099400) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |