| NPI | 1225394075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE-MARIE GIZELLE GRACIA President 973-243-0220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ MA58440) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |