| NPI | 1023978269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUNDY M SANON-GHANSAM Owner/ Program Manager 973-277-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |