| NPI | 1528667284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FORDHAN-LEWIS Founder 732-684-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |