| NPI | 1568621852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANNA ROMAN President 856-753-7763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: NJ 158220) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |