Beacon Specialized Living New Jersey, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ewing, NJ. Organization (NPI-2).
NPI number1801596333
StatusActive
Last updated in NPPESMar 6, 2023
Details
- NPI
- 1801596333
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Specialized Living New Jersey, INC.
- Organization subpart
- No
- Enumeration date
- Mar 3, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Mar 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
118 Honeysuckle DrEwing, NJ 08638-1841
Phone 609-987-5003
Mailing address
13 Roszel Rd Ste B110Princeton, NJ 08540-6211
Phone 609-987-5003 · Fax 609-520-7979
Authorized official
Darren Hodgdon
Chief Executive Officer
2694278400
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