| NPI | 1710474382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L BAILIFF CFO 609-987-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-03-02 |