| NPI | 1245911536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MUCTARR BAH CEO 732-309-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |