| NPI | 1508475393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE EDWIN CEO 201-212-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X Meals |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 251S00000X | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |