| NPI | 1396378402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER JONES JACKSON CEO 973-943-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |