| NPI | 1013604800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HICKS CEO 609-742-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |