| NPI | 1184129926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYQUAN L. GRIFFIN Executive Director 973-223-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-03-13 |