| NPI | 1871150540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY FIELDS Licensed Psychologist 857-241-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2021-07-21 |