| NPI | 1093337214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON HUMPHERIES President 856-449-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |