| NPI | 1275116469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA CALLANO President 732-281-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |