| NPI | 1538208061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MINGOIA President CEO 973-482-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NJ 50019G44Y507) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: NJ 50019G44Y1007) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |