| NPI | 1700014206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJA K JOSE Director/Owner 973-632-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: NJ 0400293116) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |