| NPI | 1548641459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D HAGGERTY President / CEO 609-689-0136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NJ IRTS) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2021-01-28 |