| NPI | 1750402202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BODNAR Director Of Patient Accounts 973-365-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NJ 30407R05Y107) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |