| NPI | 1043442452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE BERGMANN Vice President Administration 856-964-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 2000041-05) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |