| NPI | 1689023574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE STAMATO TALLARD Director 732-262-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 225C00000X Rehabilitation Counselor | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |