| NPI | 1376924258 |
|---|---|
| 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 |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2023-09-05 |