| NPI | 1548655582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLUS BROOMES Licensed Alcohol And Drug Counselot 973-220-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 37LC00206800) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |