| NPI | 1003262106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MCKINNON House Manager 609-654-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |