| NPI | 1649705716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NICOLE WEIS Owner 609-865-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 922904152) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |