| NPI | 1750056594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BACON Chief Operating Officer 609-662-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |