| NPI | 1053023002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FORDHAM-LEWIS Executive Director 732-684-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |