| NPI | 1497152961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JILL MACDONALD Accountant 908-542-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-04-16 |