| NPI | 1902279227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WINER Executive Director 201-457-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2018-03-17 |