NPI | 1386171197 |
---|---|
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 GH1103A) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |