| NPI | 1467945352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A LUCKMAN Assistant Executive Director 973-315-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-09-04 |