| NPI | 1386805349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUNG KIM Member 201-566-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 40QA01219600) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 2295743) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-07-28 |