| NPI | 1730562455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI WORKMAN Director Of Managed Care & Contract 856-566-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-12-05 |