| NPI | 1730938523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS CASTILLO-HERNANDEZ Owner 201-705-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-10-30 |