| NPI | 1508403403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A OHLIG Vice President 856-858-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |