| NPI | 1366827909 |
|---|---|
| Doing Business As | GAVIOTA CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARIS SILEGA President 973-842-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: NY 699753) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |