| NPI | 1770024465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PHALANUKORN Executive Director 732-747-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-10-30 |