| NPI | 1871246272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WAMPLER CFO Treasurer 856-881-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |