| NPI | 1265004055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYA A. TUCKER Executive Director 609-444-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |