| NPI | 1699036368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELGICA VICTORIA CEDENO Controller 609-951-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX HCS001009680) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX HCS001009680) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX HCS001009680) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2026-07-23 |