| NPI | 1205211406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE GOODMAN Executive Director 732-918-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-07-21 |