| NPI | 1922761667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAISTA SOWELL Member 973-980-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2025-10-15 |