| NPI | 1760916340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY JOSEPH ESCAMILLA Z Owner 201-895-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| 106E00000X Assistant Behavior Analyst | |
| 221700000X Art Therapist | |
| 225100000X Physical Therapist | |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |