Organization · Type 2 NPI

Pennreach

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

NPI number 1750895157 Active

Practice location

1998 Route 18
Old Bridge, NJ 08857-3779

Call (732) 968-4523 Map

Mailing address

18 S Main St
Allentown, NJ 08501-1610

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None 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 1750895157

Pennreach's National Provider Identifier is 1750895157, issued on Nov 21, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Old Bridge, NJ. The record was last updated on Nov 21, 2017.