| NPI | 1811162175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ANGELO Manager 609-586-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 104100000X Social Worker |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-07-14 |