| NPI | 1396131249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JACKSON CEO/Assisstance Director 201-637-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: GA 378448822) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA 37844822) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |