NPI | 1275977696 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA DITARANTO Executive Director 848-525-6649 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: 305R00000X) |
Additional Taxonomies | 385H00000X Respite Care (Licence: 385H00000X) |
385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: 385HR2050X) | |
385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: 385HR2060X) | |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-04-29 |