Organization · Type 2 NPI

Innovative Life of New Jersey

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

NPI number 1356091722 Active

Practice location

175 Chambers Bridge Rd Apt 143
Brick, NJ 08723-3504

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 1356091722

Innovative Life of New Jersey's National Provider Identifier is 1356091722, issued on Mar 28, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Brick, NJ. The record was last updated on Mar 28, 2022.