| NPI | 1164944906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G. MUILENBURG CFO 201-358-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ SA546) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-02-28 |