| NPI | 1003156043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M MUDGE CEO 609-882-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2023-05-23 |