| NPI | 1639835754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT S GIPLE Member 609-516-6249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-04-05 |