| NPI | 1306612221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FARRELLY Board Vice President 201-259-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-03-04 |