| NPI | 1487171211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN FRARY Executive Director 908-725-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |