| NPI | 1093229064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN PIOCH Chief Operating Officer 201-956-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-29 |