| NPI | 1265747620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BECK Owner 973-683-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 38MC 00614300) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |