| NPI | 1730686825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BAILEY Business Analyst 609-288-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |