| NPI | 1790491439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HR MANAGER Manager 973-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-07-30 |