| NPI | 1770281891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIANA LAVIENA Executive Director 973-444-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2024-01-26 |