| NPI | 1114613221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNG YI CFO 973-481-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |