| NPI | 1578964482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY MCNULTY Owner 732-246-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| 305S00000X Point of Service | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |