NPI | 1477063592 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ANGEL Executive Director 732-493-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ SA2137) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2021-11-19 |