| NPI | 1023875309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATMATA BARRIE Executive Manager 908-257-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |