| NPI | 1124798889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL MCINERNEY Executive Director 908-722-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |