| NPI | 1104522267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LACHISH Director 908-274-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |