| 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 |