Organization · Type 2 NPI

Jewishassociation for Developmental Disabilities

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

NPI number 1619402252 Active

Practice location

13 Spruce St
Elmwood Park, NJ 07407-2703

Call (201) 797-5758 Map

Fax (201) 797-9084

Mailing address

190 Moore St, Suite 272
Hackensack, NJ 07601-7424

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	GH 979 (NJ)

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 1619402252

Jewishassociation for Developmental Disabilities's National Provider Identifier is 1619402252, issued on Apr 20, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Elmwood Park, NJ. The record was last updated on Apr 20, 2017.