| NPI | 1285436352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ADRIENNE MILLER Revenue Cycle Manager 201-388-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |