| NPI | 1114535770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMY PIERRE-LOUIS Co Owner 973-868-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-08-13 |