| NPI | 1467851477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM A EBERT Owner/Director 732-761-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 006813) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |