| NPI | 1508375197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SPEED CEO 609-778-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NJ 8040) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-06-16 |