| NPI | 1508211905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE RUNNE Biller 973-697-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |