| NPI | 1528475514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS LEONARD GUENTHER Psychologist 908-334-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NJ 3473) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: PA PS004437-L) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |