| NPI | 1053358424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANG HO SONG Owner 732-991-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 25mb07701500) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |