| NPI | 1568951168 |
|---|---|
| Doing Business As | NJCRI |
| Entity Type | Organization |
| Authorized Contact | COREY LYN DESTEFANO Clinical Director 973-483-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NJ 101430204) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |