| NPI | 1821534157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIR MILLER Administrator 732-938-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: NJ GH749) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |