| NPI | 1649837196 |
|---|---|
| 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 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-08-05 |