| NPI | 1649797242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM MEZRIN Owner 908-240-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 10156) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |