| NPI | 1609314004 |
|---|---|
| Doing Business As | KENNEDY HEALTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | CARMAN A CIERVO Cpe 856-344-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-09 |