| NPI | 1760067102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SHOULARS Chief Executive Officer 973-277-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |