| NPI | 1972754679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGILIO CARABALLO President & CEO 201-478-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2025-04-16 |