| NPI | 1922388628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN LISSITZ Clinical Coordinator 862-324-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |