| NPI | 1346665007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE M BURGESS Apn 856-692-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 26NC04275400) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2019-08-07 |