Organization · Type 2 NPI

State of New Jersey Omb Centralized Payroll

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Green Brook, NJ

NPI number 1356734271 Active

Practice location

275 Greenbrook Rd
Green Brook, NJ 08812-2223

Fax (732) 968-0373

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X31-G009 (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.

3 other providers at this address

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About NPI 1356734271

State of New Jersey Omb Centralized Payroll's National Provider Identifier is 1356734271, issued on Mar 17, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Green Brook, NJ. The record was last updated on May 23, 2016.