| NPI | 1942653142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN LEE MCCULLEY Master's Level Clinician 856-582-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NJ 37AC00294300) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |