| NPI | 1003346008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN WALSH Regional Director 856-241-2728 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |