| NPI | 1790481646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PATTON COO 973-546-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |