NPI | 1669905857 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN TANIS Executive Director Of Contract Mgmt 856-533-8762 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2017-04-05 |
Last Update Date | 2019-12-20 |