| NPI | 1609516798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TINIK Accountant 732-262-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |