| NPI | 1689186918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PHILIP ZUKAUSKAS CEO 856-845-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 90001H010) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-03-17 |