| NPI | 1609630276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MELLON Director Regulatory Compliance 856-282-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-09-17 |