| NPI | 1255527321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL R EVANS II President 609-835-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MA03525700) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |