| NPI | 1851118756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEARNS Associate Executive Director 609-406-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |