| NPI | 1568820181 |
|---|---|
| Former Legal Business Name | VICTORY CATHEDRAL |
| Entity Type | Organization |
| Authorized Contact | ALETA GRIFFIN SMITH Director 973-932-7078 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-07-21 |