| NPI | 1851691646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GEISSEL Cota 201-541-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 46TA09004100) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |