| NPI | 1073222097 |
|---|---|
| Other Name | TRIAD HOUSE |
| Entity Type | Organization |
| Authorized Contact | SUZANNE WHITE Associate Vice President 856-651-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |