| NPI | 1710308937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PAULETTE HAYNES CEO 908-692-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NJ 26NJ00253100) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |