| NPI | 1275851917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN TANIS Executive Director Contract Managem 856-533-8762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 2000451-09) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2019-12-23 |