NPI | 1063587731 |
---|---|
Entity Type | Organization |
Authorized Contact | ELEONORA CIELO Director 908-464-2135 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ PC721) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00297300) |
208100000X Physical Medicine & Rehabilitation (Licence: NJ MA02860900) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |