NPI | 1699036368 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT P STACK President & C.E.O. 609-951-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX HCS001009680) |
Additional Taxonomies | 251B00000X Case Management (Licence: TX HCS001009680) |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX HCS001009680) | |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-30 |