| NPI | 1881305415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIA PIERCE Owner 856-899-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-04-28 |