| NPI | 1962821215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA NEVADOMSKI Executive Director 609-531-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH97) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NJ AT3025) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: NJ AT3025SN) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NJ SP9004) | |
| 253Z00000X In Home Supportive Care (Licence: NJ CLS699) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH152) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH160) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH186) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH317) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ SA327) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ SA455) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH708) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH753) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH791) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH1648) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-01-27 |