| NPI | 1588304984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELGICA VICTORIA CEDENO Controller 609-951-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |