| NPI | 1518568781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN WILLIS CEO 201-819-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |