NPI | 1932627775 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER PEGERON Executive Director 973-232-7743 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-08-31 |
Last Update Date | 2022-07-21 |