| NPI | 1407017353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH ROMAN Owner 908-797-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ QA06268) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-12-08 |