NPI | 1114536752 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN SMITH Director Of Operations 973-270-4676 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-08-12 |