| NPI | 1952781478 |
|---|---|
| Doing Business As | EAST MAIN GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | BARBARA LAMAR Billing Specialist 732-493-1919 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2022-12-30 |