| NPI | 1700552106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETUTU OGUNMEFUN Director 201-887-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-07-05 |