| NPI | 1700487162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT TROY SANTOS Director Of Operations 201-572-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-05-05 |