| 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, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2017-09-14 | 
| Last Update Date | 2017-09-14 |