NPI | 1336661214 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH LO Ehr Trainer/Medicaid Specialist 609-987-0099 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |