| NPI | 1093185233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH Z. TAYLOR President/CEO 609-890-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ HP011100) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |