NPI | 1518347244 |
---|---|
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 GH1375) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2021-01-07 |