| NPI | 1144887712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE RUNNE Office Manager 973-697-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |