| NPI | 1871262998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OLULO CEO/Administrator 201-937-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |