| NPI | 1487267076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA TAYLOR Owner 856-803-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-03-17 |