| NPI | 1366090581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL PETER SHOULARS Executive Director/CEO 609-837-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2020-02-21 |