Individual provider · Type 1 NPI
Candide Petit Phar
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Short Hills, NJ
Practice location
514 Millburn Ave Unit 1069
Short Hills, NJ 07078-2508
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.
Another provider at this address
About NPI 1851267611
Candide Petit Phar's National Provider Identifier is 1851267611, issued on Oct 16, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Short Hills, NJ. The record was last updated on Oct 16, 2025.