| NPI | 1528274776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS NEGRON Billing Manager 856-424-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-03-07 |