| NPI | 1508243981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANA KOFMAN Director/Owner 973-998-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NJ 46TR00144100) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00795300) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 46TR00426800) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |