| NPI | 1093531899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH OGUNMOYE Member 908-209-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |