| NPI | 1760053730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA CLARK Director 973-462-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 251X00000X Supports Brokerage | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |