| NPI | 1174041057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MANNION CFO 856-767-3807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |