| NPI | 1639642903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLENE CUMMINGS President 862-763-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |