| NPI | 1295250033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JEAN CHEESEMAN President 856-404-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2017-08-12 |