| 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, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |