| NPI | 1093856387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY JEANETTE SOUDERS Outpatient Case Manager 856-825-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 26NP04411400) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |