| NPI | 1316457526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANGEL Executive Director 732-493-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ SA2137) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-11-19 |