NPI | 1821832312 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE ANN WHITFIELD Executive Director 609-968-1172 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-08-15 |