| NPI | 1144022492 |
|---|---|
| Doing Business As | XXXXXX-0746 |
| Entity Type | Organization |
| Authorized Contact | CAMARA LISETTE BROWN Owner 201-838-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-27 |