| NPI | 1073646352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ANN SEIDENFELD Executive Director 973-783-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 22203) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-07-21 |