| NPI | 1316944523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE MOCCO Owner 201-716-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 22890) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2007-12-13 |