| NPI | 1114161825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M WELLESLEY GRAY Executive Director 888-897-6465 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NJ 64669006) |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: NJ pending) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |