| NPI | 1598196719 |
|---|---|
| Other Name | KWENYAN PROFESSIONAL HEALTH SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL E CASSELL President/CEO 609-403-8740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 100800104) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |