| 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 |