| NPI | 1851452387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE IVASHENKO Administrator President 732-777-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |