| NPI | 1912232869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON WELLESLEY GRAY President 201-726-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2009-10-10 |