Organization · NPI-2

21 Plus, INC.

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

NPI number1134655681
StatusActive
Last updated in NPPESMay 3, 2017

Details

NPI
1134655681
Entity type
Organization (NPI-2)
Legal business name
21 Plus, INC.
Organization subpart
No
Enumeration date
May 3, 2017
Last updated
May 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities–NJYes

Practice location

461 Sylvan Dr
Brick, NJ 08723-5635

Phone 732-202-6724

Mailing address

252 Washington St
Toms River, NJ 08753-7582

Phone 732-240-3118 · Fax 732-240-3381

Authorized official

David Velardo
Executive Director
7322403118

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