| NPI | 1790459261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ENABOSI CEO 908-293-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-10-19 |