| NPI | 1164766507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE K NYATOME Manager 201-522-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NJ 0400510330) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |