Organization · Type 2 NPI

Pennreach

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

NPI number 1134747017 Active

Practice location

111 Truman Square, Apt 1215
Edison, NJ 08817

Call (215) 409-5519 Map

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 1134747017

Pennreach's National Provider Identifier is 1134747017, issued on Jul 8, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Edison, NJ. The record was last updated on Jul 8, 2020.