| NPI | 1588339725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO WALILKO Owner 973-876-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |