| NPI | 1811359060 |
|---|---|
| Other Name | 4WALLS |
| Entity Type | Organization |
| Authorized Contact | JASON ALI BRICE Executive Director 856-650-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 0400647708) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |