| NPI | 1538694989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEVEN KUCINSKI Executive Director 973-691-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH116) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-11-09 |