| NPI | 1740853498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAREN SINGHANI Authorized Official 201-213-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |