| NPI | 1831617026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA VAYNBERG Billing Manager 201-703-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-03-16 |