| NPI | 1841410297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY K. HAMMOND CEO 267-242-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 0089575) |
| Additional Taxonomies | 251E00000X Home Health (Licence: DE 1841410297) |
| 251E00000X Home Health (Licence: NJ HPO123600) | |
| 251S00000X (Licence: DE 1841410297) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: DE 1841410297) | |
| 302R00000X Health Maintenance Organization | |
| 315D00000X Hospice, Inpatient | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-12-14 |