| NPI | 1700909629 |
|---|---|
| Other Name | DELAWARE VALLEY MEDICAL, INC. BLACKWOOD CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA VOORHIS Chief Executive Director 856-665-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: NJ 20000238-07) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |