| NPI | 1073261137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D HAGGERTY CEO/President 609-689-0136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |