| NPI | 1679978035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KREISWIRTH Executive Director 609-383-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 2000508) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |