| NPI | 1548793102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE S BRITT-MEADOWS Exec. Dir./Owner/Sole Member 856-254-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 44SC0445536200) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: NJ 44SC0445536200) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2018-03-24 |