NPI | 1982179875 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL L BAILIFF CFO 609-987-5003 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2018-10-08 |
Last Update Date | 2023-03-02 |