| NPI | 1467393330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ SUMO Owner 609-456-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 311Z00000X Custodial Care Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-04-03 |
| Last Update Date | 2026-04-05 |