| NPI | 1770797623 |
|---|---|
| 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: KY 7100095010) |
| Additional Taxonomies | 251B00000X Case Management (Licence: KY 33001520) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KY 33001520) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: KY 33001520) | |
| 252Y00000X Early Intervention Provider Agency (Licence: KY 33001520) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: KY 33001520) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: KY 7100095010) | |
| 252Y00000X Early Intervention Provider Agency (Licence: KY 7100095010) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: KY 7100095010) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-03-19 |