| NPI | 1932840691 |
|---|---|
| Doing Business As | MSU BEN SAMUELS CHILDREN'S CENTER |
| Doing Business As | MONTCLAIR STATE UNIVERSITY-DEMONSTRATION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LYUDMYLA YAKUBOV Director 973-655-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |