| NPI | 1801635487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANICE BOGUES Executive Director 908-209-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-11-19 |