| NPI | 1720459977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUNDREY PRICE Executor 609-670-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 347C00000X Private Vehicle | |
| 373H00000X Day Training/Habilitation Specialist | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-06-01 |