| NPI | 1063666931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E. GARNER Chief Executive Officer 973-790-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NJ 24192) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |