NPI | 1750651568 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS WEINSTEIN Dir Of Treatment Service 856-302-1362 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 2000527-11) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2013-10-14 |