NPI 1265252571

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Organisation Preferred Provider Organization Cinnaminson, NJ

Practice location

Address: 2496 Route 130 N Unit 2033, Cinnaminson, NJ 08077-8001
Phone: (724) 710-0548
Mailing address: PO Box 2033, Cinnaminson, NJ 08077-5033

Authorised official

Name: Cynthia A. Tabron
Title: Ceo
Phone: (724) 710-0548

Registered specialties (5)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Supports Brokerage Agency

Agencies Taxonomy 251X00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1265252571
Entity type: Organization
NPI issued: 11 Oct 2024
Record last updated: 30 Dec 2024

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.