| NPI | 1164095444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PEGERON President & CEO 973-626-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |