| NPI | 1447461512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JAMES ALEXANDER Chief Executive Officer 267-385-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 0400144277) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |