| NPI | 1780111419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HARTLEY Executive Director 856-794-5300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-08-12 |