| NPI | 1295583326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ENABOSI CEO 908-293-2852 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-10-03 |