| NPI | 1114127883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANINA KUZNETSOV Treasurer 201-889-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 942814466A) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |