| NPI | 1063030054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRIC CARTER Owner 201-220-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |