NPI | 1205353034 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN FRARY Executive Director 908-725-8544 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-08-23 |
Last Update Date | 2017-08-23 |