| NPI | 1881384865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHAD SIDDIQUI Manager 973-349-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |