| NPI | 1750436523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD G. HAYNES Treasurer 908-221-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NJ GH 957) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |