| NPI | 1114302882 |
|---|---|
| Other Name | WGA LAUREL LANE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA BATES Controller 973-579-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |