Organization · Type 2 NPI

Jewish Association for Developmental Disabilities

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

NPI number 1114451739 Active

Practice location

1-20 29th St
Fair Lawn, NJ 07410-3949

Call (201) 796-5522 Map

Fax (201) 796-7076

Mailing address

190 Moore St, Suite 272
Hackensack, NJ 07601-7424

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	GH 679 (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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About NPI 1114451739

Jewish Association for Developmental Disabilities's National Provider Identifier is 1114451739, issued on Apr 20, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Apr 20, 2017.