| NPI | 1043965007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA SMITH Owner 908-397-2992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |