NPI | 1912433731 |
---|---|
Other Name | BANCROFT-BALSAM RD |
Entity Type | Organization |
Authorized Contact | JENNIFER CRIPPS Chief Financial Officer 856-348-1196 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH914) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-11-08 |