| NPI | 1174704977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA YOLANDA ANDERSON-BALLARD President 732-873-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 41ys00388300) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-06-17 |