| NPI | 1437462504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HAGANS President 856-262-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ V58475691600) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |