| NPI | 1316060577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FITZGERALD C.E.O 732-257-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-W40-01-40) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-W40-07-40) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-W40-06-40) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-10-23 |