| NPI | 1720460306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAGGERTY President/CEO 609-689-0136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-01-15 |