| NPI | 1972206415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI FISCH Owner 732-887-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |