NPI | 1235607821 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA LUCAS Chief Executive Officer 973-535-1181 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 385H00000X Respite Care |
Enumeration Date | 2018-11-13 |
Last Update Date | 2018-11-13 |