| NPI | 1679004378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOLA ZACCHEUS Developmental Therapist 201-281-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC 400316903315) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |