| NPI | 1306342373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE GOODMAN EMMERICH Owner/President 732-343-1478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |