Whalio Doctors

NPI 1710687173

Beacon Specialized Living New Jersey, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Manalapan, NJ

Practice location

Address
Forge at Manalapan Crossing 400 Crossing Lane, Apartment 305, Manalapan, NJ 07726
Phone
(732) 677-1162
Mailing address
13 Roszel Rd STE B110, Princeton, NJ 08540-6211

Authorised official

Name
Darren Hodgdon
Title
Chief Executive Officer
Phone
(269) 427-8400

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1710687173
Entity type
Organization
NPI issued
6 Mar 2023
Record last updated
8 Feb 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.