Organization · Type 2 NPI

Pennreach

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

NPI number 1144875071 Active

Practice location

69 Main St Apt 810
Fort Lee, NJ 07024-6909

Mailing address

18 S Main St
Allentown, NJ 08501-1610

Specialties and licenses

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 1144875071

Pennreach's National Provider Identifier is 1144875071, issued on Aug 7, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fort Lee, NJ. The record was last updated on Aug 7, 2019.