| NPI | 1316590961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HALL Director Of Services 732-408-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-04-29 |