Organization · Type 2 NPI

Personalized Independent Living Opporuntities & Training Services

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

NPI number 1174904742 Active

Practice location

4201 Aberdeen Ln
Blackwood, NJ 08012-5590

Call (856) 809-0600 Map

Fax (856) 809-0500

Mailing address

289 Jackson Rd
Berlin, NJ 08009-2619

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 1174904742

Personalized Independent Living Opporuntities & Training Services's National Provider Identifier is 1174904742, issued on Jun 9, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Blackwood, NJ. The record was last updated on Jun 10, 2015.