Elwyn New Jersey
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Franklinville, NJ. Organization (NPI-2).
NPI number1982128245
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1982128245
- Entity type
- Organization (NPI-2)
- Legal business name
- Elwyn New Jersey
- Organization subpart
- Yes
- Enumeration date
- Jul 28, 2017
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | NJ | Yes |
Practice location
532 Reed AveFranklinville, NJ 08322-3601
Phone 856-694-2957
Mailing address
228 W Landis Ave Bldg CVineland, NJ 08360-8138
Phone 856-794-5300
Authorized official
William Hartley
Executive Director
8567945300
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