NPI | 1043608334 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE ANDREW SHAPIRO Owner 610-751-9884 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC04509600) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-01-08 |