| NPI | 1164804118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MARKOWITZ Chief Program Officer 609-987-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |