| NPI | 1881780948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LALLY Director Of Billing And Revenue C 973-539-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NJ MA51433) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ MA51433) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-07-22 |