NPI | 1447062013 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN FANTUZZI Chief Operating Officer 908-757-1080 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-01-22 |
Last Update Date | 2025-01-22 |