| NPI | 1235330697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CONDAL Fiscal Operations Officer 201-634-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-07-30 |