| NPI | 1386234896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE M FAGAN Executive Director 732-284-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2023-03-29 |