NPI | 1144861071 |
---|---|
Other Name | KKLEIN |
Entity Type | Organization |
Authorized Contact | CHRISTINA MARTIN Advisor 973-703-6667 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251T00000X PACE Provider Organization |
Enumeration Date | 2019-10-02 |
Last Update Date | 2022-03-03 |