| NPI | 1881105534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GALLO ROBERTSON Licensed Professional Counselor 856-292-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 37PC00383000) |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2017-10-21 |