| NPI | 1215185228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI J GRAHAM Practice Owner 609-587-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NJ 29v100258700) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |