NPI | 1184029589 |
---|---|
Entity Type | Organization |
Authorized Contact | AURA S GUERRERO Director 201-655-4478 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NY 5984841) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-10-28 |