| NPI | 1871325704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA S GREENBLATT Provicder Enrollment & Payer Contra 609-525-4271 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |