| NPI | 1013339506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J FERRARA Executive Director 732-549-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NJ GH1893) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2015-05-26 |