| NPI | 1508385113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN GIBSON Chief Operating Officer 856-767-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |