| NPI | 1538600689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED T FOFANAH Co Founder 732-423-5397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |