| NPI | 1366504607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MORTON Medical Director, President 908-782-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MA07388000) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |