| NPI | 1164033262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LO Manager Ehr & Medicaid 609-608-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |