| NPI | 1710177068 |
|---|---|
| Doing Business As | GAVIOTA CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARIS L SILEGA President 973-368-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |