Vine Community
NPI #1104377258 in Merchantville, New Jersey
Provider Information
- NPI Number
- 1104377258
- Entity Type
- Organization
- Organization Name
- Vine Community
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 24, 2016
- Last Updated
- Oct 24, 2016
Practice Location
- Address
- 35 W MAPLE AVE
- City
- Merchantville
- State
- New Jersey
- ZIP Code
- 08109-5141
- Phone
- (856) 324-0288
Authorized Official
- Name
- AMY ROHRER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (856) 324-0288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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