| NPI | 1386005957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MINGOIA CEO President 973-482-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH2324) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |