| NPI | 1780102152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MINGOIA President / CEO 973-482-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH1734) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |