NPI | 1700472305 |
---|---|
Entity Type | Organization |
Authorized Contact | ASIA RANKINS CEO 732-207-2645 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-17 |