| NPI | 1134408289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA THOMAS Credentialing Specialist 908-418-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NJ 204010248) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2025-03-04 |