| NPI | 1720441173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN FARANCA Residential Counselor 609-871-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2022-07-21 |