Organization · Type 2 NPI

Princeton Child Development Institute

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

NPI number 1043742166 Active

Practice location

3902 Ravens Crest Dr
Plainsboro, NJ 08536-2418

Call (609) 924-6280 Map

Fax (609) 924-4119

Mailing address

300 Cold Soil Rd
Princeton, NJ 08540-2002

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	SA1212 (NJ)

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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NPI record

NPI: 1043742166
Entity type: Organization (Type 2)
Issued: Mar 29, 2017
Last updated: Mar 29, 2017
Status: Active
Subpart: Yes of Princeton Child Development Institute

Other names

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Supervised Apartment Program · other name

Authorized official

Dr. Patrick R Progar, PhD, BCBA-D
Executive Director
(609) 924-6280

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About NPI 1043742166

Princeton Child Development Institute's National Provider Identifier is 1043742166, issued on Mar 29, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Plainsboro, NJ. The record was last updated on Mar 29, 2017.