| NPI | 1649499351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RAIKE Administrator 732-792-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NJ 556215) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |