NPI | 1053179713 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BAIADA President 973-909-5159 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-08-08 |