| NPI | 1265967327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C RECTOR Executive Director 732-805-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH411A) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2022-07-21 |