| NPI | 1417165358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACHILLE DEJEAN Executive Director 732-542-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-03-03 |