| NPI | 1902543028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN MCINNIS Owner 856-347-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-06-27 |