| NPI | 1104597566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENVER RAVENELL CEO 973-878-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2026-06-08 |