Individual provider · Type 1 NPI
Raquel Anna Ortiz, BA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hainesport, NJ
Practice location
506 2nd St
Hainesport, NJ 08036-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1013527738
Raquel Anna Ortiz, BA's National Provider Identifier is 1013527738, issued on Aug 6, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hainesport, NJ. The record was last updated on Aug 6, 2020.