Organization · Type 2 NPI

Pennreach

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Long Branch, NJ

NPI number 1003320409 Active

Practice location

163 Garrett Dr
Long Branch, NJ 07740-5587

Call (732) 963-4523 Map

Fax (609) 259-4120

Mailing address

18 S Main St
Allentown, NJ 08501-1610

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1003320409

Pennreach's National Provider Identifier is 1003320409, issued on Nov 21, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Long Branch, NJ. The record was last updated on Nov 21, 2017.