| NPI | 1215992953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MAHONEY Chief Financial Officer 561-447-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 261Q00000X) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-10-23 |