| NPI | 1487984811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS THEOCHARIDES Managing Member 877-844-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 25MA064843) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-08-31 |