| NPI | 1689089344 |
|---|---|
| Doing Business As | NEW AGE BEHAVIORAL |
| Entity Type | Organization |
| Authorized Contact | LLOYD C ALCERA Director 856-797-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00433300) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2015-03-02 |