| NPI | 1659136679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT TROY SANTOS Director Of In Home Services 201-572-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-09-25 |