NPI 1003425398

Pennreach

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Edison, NJ

Practice location

Address: 111 Truman Square APT 1212, Edison, NJ 08817-0850
Phone: (215) 409-5519
Mailing address: 18 S Main St, Allentown, NJ 08501-1610

Authorised official

Name: Krystal Odell
Title: Ceo
Phone: (215) 409-5519

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New Jersey →

Registry record

NPI: 1003425398
Entity type: Organization
NPI issued: 23 Jul 2020
Record last updated: 23 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.