| NPI | 1104148410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODEL CAESAR BAGUIORO CEO 732-487-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 0400332605) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2022-06-16 |