| NPI | 1710646971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY K MOMANYI CEO 732-439-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |