NPI | 1811585508 |
---|---|
Former Legal Business Name | NEW LIFE GROUP NJ LLC |
Entity Type | Organization |
Authorized Contact | SETH Z TAYLOR CEO 609-913-7188 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2021-01-07 |
Last Update Date | 2024-09-16 |