NPI | 1356064836 |
---|---|
Entity Type | Organization |
Authorized Contact | DORCAS BOURSIQUOT CEO 973-978-7409 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |