| NPI | 1083112155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DAVIS Billing Manager 609-267-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |