Organization · Type 2 NPI

Southgate Residential Life Center

Emotionally Disturbed Childrens' Residential Treatment Facility · Mount Holly, NJ

NPI number 1699002865 Active

Practice location

2630 Route 206
Mount Holly, NJ 08060-6708

Call (609) 288-6398 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1699002865

Southgate Residential Life Center's National Provider Identifier is 1699002865, issued on Nov 10, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Mount Holly, NJ. The record was last updated on Nov 10, 2009.