| NPI | 1487027470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADISLAV HABINA Owner 973-464-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NJ 25MA06392900) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |