| NPI | 1386242311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HALBERSTAM Director 862-686-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |