| NPI | 1215295266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. DIETER HOVERMANN Executive Director 856-825-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |