| NPI | 1083132815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALEXANDER PRUZNICK CEO 908-689-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH1129) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |