| NPI | 1912699596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LYNNE MCGARVEY Director 609-840-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 111N00000X Chiropractor | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |