| NPI | 1902162134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN BURNS Sole Member 609-617-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 25MB05899100) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 25MB05899100) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |