| NPI | 1790210342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN THOMAS CONLEY Director Of Finance And Information 856-735-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH1355) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2021-07-21 |