Unicorn Supportive Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vineland, NJ. Organization (NPI-2).
NPI number1982195962
StatusActive
Last updated in NPPESMay 24, 2018
Details
- NPI
- 1982195962
- Entity type
- Organization (NPI-2)
- Legal business name
- Unicorn Supportive Services
- Organization subpart
- No
- Enumeration date
- May 24, 2018
- Last updated
- May 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
890 E Walnut RdVineland, NJ 08360-5032
Phone 856-278-5188
Mailing address
22 Valley Forge DrSwedesboro, NJ 08085-4230
Phone 856-278-5188
Authorized official
Monday J Gabriel
Administrator
8562785188
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