| NPI | 1073009338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS YEBOAH KORDIE Owner/Nurse Practitioner 973-641-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |