| NPI | 1194329235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAQUINA ZACKERY Chief Executive Officer 973-563-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-05-22 |