NPI | 1205213824 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY MADISON Medical Director 856-845-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05607300) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2015-05-04 |