| NPI | 1861822306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY REDKOLES Therapist/Manager/President 856-889-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05386600) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |