| NPI | 1447752365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE REGINA HUTTON-ROSE Interim Executive Director 732-240-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |