| NPI | 1083097687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL MITCHELL Executive Director 973-984-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |