| NPI | 1811672322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONI KENDALL Owner 856-912-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-12-05 |