Organization · Type 2 NPI

Phasebdevelopment

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

NPI number 1922252089 Active

Practice location

138 Central Ave
Jersey City, NJ 07306-2119

Call (646) 512-1620 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X239456258 (NY)

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 1922252089

Phasebdevelopment's National Provider Identifier is 1922252089, issued on Nov 14, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jersey City, NJ. The record was last updated on Nov 14, 2008.