| NPI | 1124422688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARIS SILEGA President 973-900-6397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QR1100X Clinic/Center, Research (Licence: ZZ 33392) | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |