| NPI | 1033599956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLE PERRY Executive Director 732-408-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-04-29 |