| NPI | 1851721351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHIER RESPES Owner 856-449-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2020-01-16 |