| NPI | 1811101777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P. STACK President & C.E.O. 609-951-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: PA 195530) |
| Additional Taxonomies | 251B00000X Case Management (Licence: PA 18974) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 195530) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-09-11 |