| NPI | 1417937210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE EICHORN Executive Director 908-689-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NJ 1050103041) |
| Additional Taxonomies | 261QM0801X (Licence: NJ 105010104) |
| 261QM0801X (Licence: NJ 105010204A) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-12-12 |