| NPI | 1679317465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA TIFT Community Support Specialist 609-310-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |