Organization · Type 2 NPI

Pennreach

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

NPI number 1265097430 Active

Practice location

69 Main St Apt 1110
Fort Lee, NJ 07024-6909

Call (215) 409-5519 Map

Mailing address

18 S Main St
Allentown, NJ 08501-1610

Other practice locations

  • 69 Main St Apt 614, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 1108, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 1010, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 712, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 807, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 812, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 608, Fort Lee, NJ 07024-6909 · (221) 540-9551
  • 69 Main St Apt 914, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 912, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 910, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 814, Fort Lee, NJ 07024-6909 · (215) 409-5519
  • 69 Main St Apt 1008, Fort Lee, NJ 07024-6909 · (215) 409-5519

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 1265097430

Pennreach's National Provider Identifier is 1265097430, issued on May 3, 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 Jul 22, 2019.