| NPI | 1316597677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW BARILE Member 732-403-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |