| NPI | 1265816557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LYNNE HAINES CEO 609-267-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2019-07-05 |