| NPI | 1114373594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE REID Sole Mbr 908-692-5307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 46TR00618600) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-06-07 |