| NPI | 1356797195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A RICCI Chief Executive Officer 973-877-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |