| 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 |