| NPI | 1720789142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BELLANGER Owner 732-504-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2025-08-08 |