| NPI | 1386155364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TRELOAR Patient Account Manager 201-355-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |