NPI | 1679062392 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WILDER Senior VP Of Operations 856-241-3320 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2018-05-08 |
Last Update Date | 2018-05-08 |