| NPI | 1396389888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNA PEREZ Owner 732-510-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-04-26 |