| NPI | 1104002963 |
|---|---|
| Other Name | COSTAR |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KALISE CRAWLEY Mental Health Aide 856-541-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |