| NPI | 1013192103 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT P STACK President & C.E.O. 609-951-9900  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX TXHML 001010379)  | 
| Additional Taxonomies | 251B00000X Case Management (Licence: TX TXHML 001010379)  | 
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX TXHML 001010379)  | |
| Enumeration Date | 2008-01-08 | 
| Last Update Date | 2008-01-08 |