| NPI | 1841690211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JOY LEACH Therapist 856-266-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL00684600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05601900) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |