| NPI | 1992569628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASADE OGUNTOLA CEO 201-283-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-04-28 |