| NPI | 1972782167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THEESE Health Officer 973-593-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: NJ 25MA03374400) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-11-16 |