| NPI | 1053992487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENA K RICKS Administrator/CEO 908-627-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2021-04-17 |