| NPI | 1902559289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA BERMUDEZ Administrator 201-741-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |