| NPI | 1972376754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELIS IFEANYI ARIGUZO Director 973-782-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |