| NPI | 1043791874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA WOLF Corporate Secretary 856-283-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-06-11 |