| NPI | 1255941118 |
|---|---|
| Doing Business As | SUBURBAN HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRAD SKOKOWSKI Executive Director 856-287-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |