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