| NPI | 1003030495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMPSON Administrative Director 973-345-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 22583) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-08-13 |