| NPI | 1881265478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY RENEE THOMPSON Owner 856-472-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |