| NPI | 1083191662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BROOKS Executive Director 173-280-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |