| NPI | 1306143672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KEITH HAMMOND CEO/President 1855-447-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 0089575) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 251E00000X Home Health (Licence: NJ HP0123600) | |
| 251S00000X Community/Behavioral Health (Licence: NJ 0400394781) | |
| 302R00000X Health Maintenance Organization | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 315D00000X Hospice, Inpatient | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |