| NPI | 1528212909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MCNEECE Administrator 856-797-4720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |