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 |