| NPI | 1114081478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI FESSLER Admimistrator 732-697-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |