| NPI | 1902371941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L BAILIFF CFO 609-987-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2023-03-02 |