| NPI | 1346570306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSITA JIMENEZ-HAIRSTON Billing Manager 908-355-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: NJ 20401-20-05) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NJ 20401-20-05) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2013-01-14 |