| NPI | 1902785728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS RIVERA CEO/Executive Director 862-226-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |