| NPI | 1922733286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABRIAN LAMONT JOHNSON Mental Health Therapist 856-397-9187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-26 |