| NPI | 1962276188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSELYN MCINTOSH Executive Director 862-371-2957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |