| NPI | 1295128023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE RHODAS Owner 609-241-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 18KT00139900) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |