Pennreach
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clementon, NJ. Organization (NPI-2).
Details
- NPI
- 1871007286
- Entity type
- Organization (NPI-2)
- Legal business name
- Pennreach
- Organization subpart
- No
- Enumeration date
- Nov 21, 2017
- Last updated
- Nov 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
43 Park BoulevardClementon, NJ 08021
Phone 732-963-4523 · Fax 609-259-4120
Mailing address
18 S Main StAllentown, NJ 08501-1610
Phone 732-963-4523 · Fax 609-259-4120
Authorized official
Pauline Bailo
Director
2154752401
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All 19 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Clementon · All 226 providers in Clementon
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