| NPI | 1841705647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN J WELTE Owner 201-707-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL SA15068) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |