| NPI | 1942775309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COKER TAYLOR Owner 609-456-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 251S00000X |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2020-06-27 |