NPI 1083386411
By Stephanie a
Practice location
- Address
- 77 Tailor Ln, Sicklerville, NJ 08081-5697
- Phone
- (856) 275-3061
Authorised official
- Name
- Stephanie Moore
- Title
- Ceo
- Phone
- (856) 275-3061
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1083386411
- Entity type
- Organization
- NPI issued
- 4 Oct 2021
- Record last updated
- 4 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.