| NPI | 1871322537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA GRISSELLE MORALES-MONTALVO Owner 973-368-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |