| NPI | 1023464401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE RUNNE Medical Biller 697-697-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NJ 251C000000X) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-10-10 |