| NPI | 1083830483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LES PACHELL CEO 856-983-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2010-08-02 |