| NPI | 1477999712 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | HENRY EROMOSELE Executive Director 516-280-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NJ 2510000X) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NJ 10) |
| 252Y00000X Early Intervention Provider Agency (Licence: NJ 25) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |