NPI 1104184506

Iep Youth Services, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Freehold, NJ

Practice location

Address: 75 W Main St, Freehold, NJ 07728-2114
Phone: (732) 431-2663
Fax: (732) 409-3634

Authorised official

Name: Sharon Goldman
Title: Cfo
Phone: (732) 431-2663

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 4140 (NJ)

Other Community Based Residential Treatment Facility, Mental Illness providers in New Jersey →

Registry record

NPI: 1104184506
Entity type: Organization
NPI issued: 24 Apr 2012
Record last updated: 24 Apr 2012

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.