| NPI | 1568148179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGAE W. WASSEF Manager/Member 973-930-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |