NPI | 1639723968 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE HALL Director Of Services 732-408-5681 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-07-25 |
Last Update Date | 2021-04-29 |