| NPI | 1447337134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H DIETER HOVERMANN Executive Director 856-825-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-03-12 |