| NPI | 1780778787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON XAVIER CRUZ Director 201-568-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: NJ 690220861) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-08-27 |