| NPI | 1609514777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MILLIKEN CEO 201-303-6341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |