| NPI | 1629130729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY VAN NOSTRAND CEO 609-406-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NJ 4040) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NJ 50004x42y207) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NJ 50004x42y307) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |