| NPI | 1578717799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARON ELAINE RICE Executive Direcor 973-414-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: NJ 2000066-08) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |