| NPI | 1467972570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY BLANCHARD Executive Director 908-354-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |