| NPI | 1811454549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED JEREMEY WILSON Owner / Administrator 973-713-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |