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 |