| NPI | 1366848582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEDIEDJAH MOSHE RODRIGUES PEREIRA Owner 732-814-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2023-02-26 |