| NPI | 1740648369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE K. DOUGLAS Managing Director 609-987-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |