NPI | 1487701868 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSA L MOORE President 973-223-4511 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl029640) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2009-06-12 |