| NPI | 1972003929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C RECTOR Executive Director 732-805-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ SA2555) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |