Organization · Type 2 NPI

Pennreach

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

NPI number 1043799893 Active

Practice location

30B Gloria Robinson Ct
Jersey City, NJ 07306-7042

Call (215) 475-2401 Map

Mailing address

18 S Main St
Allentown, NJ 08501-1610

Other practice locations

  • 30 B Wilmont Ave, Jersey City, NJ 07306 · (215) 475-2401

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 1043799893

Pennreach's National Provider Identifier is 1043799893, issued on Aug 13, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jersey City, NJ. The record was last updated on Nov 30, 2018.