| NPI | 1376056242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH BARNES Controller 609-880-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ 5020) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |