| NPI | 1245697911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE GILKIN Compliance Representative 610-525-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 41YS00710900) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |