| NPI | 1912388349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY FANTUZZI President 908-757-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-01-10 |