| NPI | 1932099264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANI F HOLLOWAY Executive Director 732-336-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |