| NPI | 1619391695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA E CARPENTER Executive Director 973-416-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 2000482) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-03-24 |