| NPI | 1346775038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILSON Owner 973-519-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2018-01-30 |