| NPI | 1376070060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RECTOR Executive Director 732-805-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH605A) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |