| NPI | 1225593098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DONATI COO 856-241-3320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |