| NPI | 1952463598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY MCNAMEE Case Management Administrator 973-299-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 37PC00349400) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |