| NPI | 1184005092 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL HAGGERTY President / CEO 609-689-0136  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ CL1020N)  | 
| Enumeration Date | 2015-06-16 | 
| Last Update Date | 2021-01-07 |