| NPI | 1801339155 |
|---|---|
| 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 | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2021-01-15 |