| NPI | 1356028021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MATTHEWS Co Owner 609-972-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |