| NPI | 1902529126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE M MAGEE Substance Abuse Counselor 856-332-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |