| NPI | 1578105185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MINTZ Executive Director 973-493-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-17 |