| NPI | 1356925176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOAN MORA Owner 609-970-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |