| NPI | 1518358126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER STEVEN GLOCK Cheif Executive Officer 201-264-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 1943AD985101) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |