NPI | 1336827153 |
---|---|
Entity Type | Organization |
Authorized Contact | TISHA NICOLE MCKENZIE Founder/Chief Executive Officer 973-204-7775 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
305R00000X Preferred Provider Organization | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
385H00000X Respite Care | |
Enumeration Date | 2023-07-11 |
Last Update Date | 2023-07-11 |