| NPI | 1912024639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR S TAVERA Executive Director 856-338-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 10021-02-04) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |