Organization · Type 2 NPI
State of New Jersey Omb Centralized Payroll
Intellectual and/or Developmental Disabilities Residential Treatment Facility · New Lisbon, NJ
Practice location
Rte 72 East
New Lisbon, NJ 08064-0130
Fax (609) 726-1293
Mailing address
Hwy 72 East
New Lisbon, NJ 08064-0130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 4467001 (NJ) |
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.
About NPI 1255375929
State of New Jersey Omb Centralized Payroll's National Provider Identifier is 1255375929, issued on Jun 15, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in New Lisbon, NJ. The record was last updated on Oct 4, 2011.