NPI | 1538694492 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALEXANDER PRUZNICK CEO 908-689-7525 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NJ GH579) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2017-04-27 |