| NPI | 1558196873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASANDRA M NOTTINGHAM CEO 609-203-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |