| NPI | 1407295603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE DEMAREST Preseident 2017-876-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00582700) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |