| NPI | 1518501543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN PRATICO Executive Director 908-307-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |