| NPI | 1033935523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NURYS DE LA CRUZ Clinical Director 973-518-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2025-04-02 |