| NPI | 1922692722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY STONEHAM Executive Assistant 732-363-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |