NPI | 1790165603 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA LUCAS Chief Executive Officer 973-535-1181 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2015-06-05 |
Last Update Date | 2016-11-14 |