| NPI | 1720476435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA E CARPENTER Executive Director 201-563-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 2000482) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-03-23 |