Organization · Type 2 NPI

Pennreach

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

NPI number 1164077681 Active

Practice location

69 Main St Apt 807
Fort Lee, NJ 07024-6909

Mailing address

18 S Main St
Allentown, NJ 08501-1610

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1164077681

Pennreach's National Provider Identifier is 1164077681, issued on Aug 2, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fort Lee, NJ. The record was last updated on Aug 2, 2019.