| NPI | 1386149011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELGICA VICTORIA CEDENO Controller 609-951-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ gh1119a) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |