| NPI | 1235988783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL REGAN CEO 732-962-5442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |