NPI | 1073019485 |
---|---|
Entity Type | Organization |
Authorized Contact | OLAJUMOKE OLAYEMI Onwer 973-454-1952 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251E00000X Home Health |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
320700000X Residential Treatment Facility, Physical Disabilities | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |