| NPI | 1609596782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SCHWARZ Billing 856-767-3650 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |