Organization · Type 2 NPI

New Jersey Community Development Corporation

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

NPI number 1235693136 Active

Practice location

34 Wagner Pl Apt 2
Hawthorne, NJ 07506-1334

Call (973) 413-1600 Map

Mailing address

PO Box 6976
Paterson, NJ 07509-6976

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None 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 1235693136

New Jersey Community Development Corporation's National Provider Identifier is 1235693136, issued on Jan 24, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hawthorne, NJ. The record was last updated on Jan 24, 2019.