| NPI | 1902608466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE GOMES Authorized Official 201-306-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-10-07 |