| NPI | 1558906594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA ROMERO Executive Director 856-842-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |