| NPI | 1205559747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA A AUGUSTINE President / CEO 201-678-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |