| NPI | 1336529049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE TRETOLA President / Eo 609-689-0136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH980) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |