| NPI | 1750424834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY AGRESTA Nursing Service Coordinator 973-594-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 26NR10634000) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-12-04 |