| NPI | 1922895804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M BAILEY Payer Enrollment Specialist 856-227-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-05-16 |