| NPI | 1922590884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI WORKMAN Director Of Managed Care & Contract 856-566-6831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |