| NPI | 1104342542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY STONEHAM Executive Assistant 732-363-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |