| NPI | 1720632128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYEZ AZEEZ CEO 609-902-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2021-08-13 |