| NPI | 1619716768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI FISCH Principal 732-887-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |