NPI 1013421411

Pennreach

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

Practice location

Address: 230 Rivera Ln, Long Branch, NJ 07740-5599
Phone: (732) 963-4523
Fax: (609) 259-4120

Authorised official

Name: Pauline Bailo
Title: Director
Phone: (215) 475-2401

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: 1013421411
Entity type: Organization
NPI issued: 21 Nov 2017
Record last updated: 21 Nov 2017

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.