| NPI | 1710090642 |
|---|---|
| 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 HCS Contract # 00100) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX HCS Contract # 00100) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX HCS Contract # 00100) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-04-14 |