NPI 1063149169

Serv Connect, INC

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

Practice location

Address: 99 Country Club Rd, Willingboro, NJ 08046-3534
Phone: (609) 406-0100
Fax: (609) 406-0307
Mailing address: 20 Scotch Rd Fl 3, Ewing, NJ 08628-2529

Authorised official

Name: Robert Bacon
Title: Chief Operating Officer
Phone: (609) 662-3202

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: 1063149169
Entity type: Organization
NPI issued: 8 Aug 2022
Record last updated: 24 Aug 2023

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.