| NPI | 1053366690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRVELL M THOMAS Chief Operating Officer 856-321-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-03-03 |