| NPI | 1649793795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILLION TITUS Director 732-569-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |