| NPI | 1699244863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE MINUTILLO SHANN Director/Registered Agent 732-337-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2018-11-17 |