NPI | 1891971867 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON SAMUEL BERNATH Owner Head Occupational Therapist 201-833-4587 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00155200) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ 46TR00155200) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2008-07-17 |