| NPI | 1497134910 |
|---|---|
| Doing Business As | WAYSIDE OAKS |
| 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) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-11-19 |