| NPI | 1770848723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J FITZGERALD President 732-257-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |