| NPI | 1386128569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FERRARA Executive Director 732-549-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-25 |