| NPI | 1124413505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAO KITAGUCHI Occupational Therapist 201-681-2581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 46TR00669800) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |