| NPI | 1811066400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALVARADO Medical Director 973-596-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NJ 44SC00522500) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |