| NPI | 1912432493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BARNES Chief Operating Officer 856-735-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH1168) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2021-07-21 |