| NPI | 1043969561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM LAMPMANN Chief Operating Offficer 973-838-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |