| NPI | 1457883928 |
|---|---|
| Other Name | KWENYAN PROFESSIONAL HEALTH SERV |
| Entity Type | Organization |
| Authorized Contact | DANIEL CASSELL President/CEO: Administrator 609-284-5822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X (Licence: NJ 100800204) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |