| NPI | 1124871173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY HODGE Director Of Medical Billing 201-487-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |