| NPI | 1952441404 |
|---|---|
| Other Name | EXTENDED ASSESSMENT |
| Entity Type | Organization |
| Authorized Contact | DONNA K BUSCH Payer Contract Specialist 445-206-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-09-08 |