| NPI | 1851009435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDIE S KOLENUT CEO 201-464-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 342000000X Transportation Network Company | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| 374K00000X | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2022-11-11 |