| NPI | 1053715649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P. STACK CEO & President 609-951-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L000000013051) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |