Innovative Life of New Jersey

NPI #1053191627 in Plainsboro, New Jersey

Provider Information

NPI Number
1053191627
Entity Type
Organization
Organization Name
Innovative Life of New Jersey
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 2, 2023
Last Updated
Oct 2, 2023

Practice Location

Address
2413 HUNTERS GLEN DR
ZIP Code
08536-3865
Phone
(301) 270-4750

Authorized Official

Name
SHINAVIA MCKINNEY
Title
COO
Phone
(301) 270-4750

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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Provider Name
Princeton Child Development Institute

Part of Princeton Child Development Institute

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