| NPI | 1770182792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW BARILE Member 732-403-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |