| NPI | 1649640889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY TISCHLER Executive Director 609-704-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 897520105) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |