| NPI | 1932766847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WRIGHT Apn 856-628-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2019-10-03 |