| NPI | 1053801118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM MOSCHELLA Consultant 973-699-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |