| NPI | 1942865654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL MALCOLM MYERS Owner 609-903-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |