| NPI | 1831720101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL WHITEKETTLE Clinical Social Worker 856-448-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |