| NPI | 1124588496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA IACOVINO Director Of Adult Services 201-466-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |