| NPI | 1174869150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE SCHLEIDER Corporate Director 856-783-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |