| NPI | 1982195962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONDAY J GABRIEL Administrator 856-278-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |