| NPI | 1972089753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILDER Senior VP Of Operations 856-241-3320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |