| NPI | 1023453644 |
|---|---|
| Other Name | MAINSTAY NJ |
| Entity Type | Organization |
| Authorized Contact | ROBERT FISHMAN CEO 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |