NPI | 1033470398 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT STACK President & C.E.O. 609-951-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX TXHmL001011580) |
Additional Taxonomies | 251B00000X Case Management (Licence: TX TXHmL001011580) |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX TXHmL001011580) | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2012-06-04 |