| NPI | 1821466483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN BAKER Owner 845-505-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NJ 86008379) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2016-01-13 |