649 Greenbriar Dr
Psychologist, Intellectual & Developmental Disabilities in Williamstown, NJ. Organization (NPI-2).
NPI number1881565943
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1881565943
- Entity type
- Organization (NPI-2)
- Legal business name
- 649 Greenbriar Dr
- Organization subpart
- Yes
- Enumeration date
- Sep 12, 2025
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | Yes |
Practice location
649 Greenbriar DrWilliamstown, NJ 08094-1149
Phone 856-666-4929 · Fax 888-218-8285
Mailing address
649 Greenbriar DrWilliamstown, NJ 08094-1149
Phone 856-666-4929 · Fax 888-218-8285
Authorized official
Elienne Dautruche
Executive Director
8566259934
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