| NPI | 1942686167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LUPICA Chief Operating Officer 201-848-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NJ GH398) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-04-20 |