| NPI | 1073993721 |
|---|---|
| Other Name | ESNJ - RIO GRANDE (B) |
| Entity Type | Organization |
| Authorized Contact | BRIAN J FITZGERALD President 732-257-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |