| NPI | 1184621484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MENDONEZ President/Administrator 908-688-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 23133) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-10-18 |