| NPI | 1518480359 |
|---|---|
| Other Name | 1200 ROUTE 70 EAST UNIT 107 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CRIPPS Chief Financial Officer 856-348-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ SA1179) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-11-08 |