| NPI | 1912517830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARI UTAIN Owner/Bcaba 609-332-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |