| NPI | 1407979669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR SOBERAL VP Of Revenue 732-955-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-M40-00-41) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2025-08-21 |