| NPI | 1801279534 |
|---|---|
| Other Name | BANCROFT-LAKESIDE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CRIPPS Chief Financial Officer 856-348-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-11-08 |