| NPI | 1245689686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JILL MACDONALD Accountant 908-542-2736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 1060) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |