| NPI | 1437271293 |
|---|---|
| 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-K40-05-40) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-K40-00-41) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-K40-04-40) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-K40-06-40) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-K40-01-40) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 40003-K40-03-40) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-08-29 |