| NPI | 1831525849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLAJI ADEOLA AJIKE Owner 856-628-0318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2014-08-18 |