Organization · Type 2 NPI

Devereux Bridgeton

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

NPI number 1770969065 Active

Practice location

198 Roadstown Rd
Bridgeton, NJ 08302-5747

Call (856) 599-6400 Map

Fax (856) 599-6404

Mailing address

286 Mantua Grove Rd, Building #4
West Deptford, NJ 08066-1738

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 1770969065

Devereux Bridgeton's National Provider Identifier is 1770969065, issued on Aug 10, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bridgeton, NJ. The record was last updated on May 9, 2017.