| NPI | 1649134867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAQUASHA L MCMILLAN JOHNSON Owner 201-238-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |