| NPI | 1215739867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHANTE JOHNSON Owner 201-844-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |