| NPI | 1851686869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KARL BOETTCHER COO 856-669-0217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2019-08-05 |