NPI | 1902563182 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE MODUPE OLAGBEGI Executive Director 973-313-1700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-11-22 |
Last Update Date | 2021-11-22 |