| NPI | 1710414099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINDO L KING Executive Director 908-537-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 20000650) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |