| NPI | 1104176676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. HAGGERTY President/CEO 609-689-0136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2023-04-13 |