NPI | 1013442599 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD BARNES Chief Operating Officer 856-735-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH795) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2021-07-21 |