| NPI | 1851896856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAJUMOKE OLAJUMOKE Owner 973-454-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |