| NPI | 1255711289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT PATRICK MILLIKEN Executive Director 973-406-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NJ SA212) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |