New Age Behavioral Pc Valid NPI
Organization · Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ
- NPI
- 1689089344
- Type
- Organization (Type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 26NJ00433300 (NJ)
- Enumerated
- 2014-06-20
- Last updated
- 2015-03-02
Practice location
106 Centre Blvd, Suite G
Marlton, NJ 08053-4131
(856) 797-2810