| NPI | 1104338904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELGICA VICTORIA CEDENO Controller 609-951-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH1493) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |