| NPI | 1548970429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY FULTON Credentialing Specialist 609-267-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |