| NPI | 1336263532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA AMENDOLA Billing And Claim Analyst 973-481-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 30219) |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-11-20 |