| NPI | 1962937946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BARNES Chief Operating Officer 856-735-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NJ GH1613) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2021-07-21 |