Beacon Specialized Living New Jersey, Inc.
NPI #1093566242 in Willingboro, New Jersey
Provider Information
- NPI Number
- 1093566242
- Entity Type
- Organization
- Organization Name
- Beacon Specialized Living New Jersey, Inc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 27, 2024
- Last Updated
- Mar 27, 2024
Practice Location
- Address
- 53 POND LN
- City
- Willingboro
- State
- New Jersey
- ZIP Code
- 08046-2756
- Phone
- (609) 987-5003
Authorized Official
- Name
- DARREN HODGDON
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (269) 427-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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