NPI | 1972295285 |
---|---|
Entity Type | Organization |
Authorized Contact | MIRIAM GOLDIE WEISS Registered Agent 732-994-7566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 251E00000X Home Health |
251S00000X | |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-05-24 |