| NPI | 1871362996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MORRISON Asst Dir 862-215-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |