| NPI | 1235574617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS MANGINO Assistant Executive Director 856-456-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-07-21 |