| NPI | 1841632155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO LIONEL FERNANDEZ Director 732-690-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NJ 37LC00162000) |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2013-07-28 |