Organization · Type 2 NPI

Innovative Life of New Jersey

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

NPI number 1316614092 Active

Practice location

88 Club House Dr
Willingboro, NJ 08046-3404

Call (301) 270-4750 Map

Mailing address

8484 Georgia Ave Ste 900
Silver Spring, MD 20910-5604

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 1316614092

Innovative Life of New Jersey's National Provider Identifier is 1316614092, issued on Aug 30, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Willingboro, NJ. The record was last updated on Aug 30, 2021.