| NPI | 1942578695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED OLMSTED Director Of Billing 848-304-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NJ 204010248) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2025-09-03 |