| NPI | 1669827416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BETH LANDSKRONER Speech Language Pathologist 732-598-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 014964-1) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |