Elwyn New Jersey
NPI #1164193561 in Clayton, New Jersey
Provider Information
- NPI Number
- 1164193561
- Entity Type
- Organization
- Organization Name
- Elwyn New Jersey
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ELWYN NEW JERSEY
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 24, 2021
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 15 MADISON AVE
- City
- Clayton
- State
- New Jersey
- ZIP Code
- 08312-2208
- Phone
- (856) 794-5300
Authorized Official
- Name
- MR. WILLIAM HARTLEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (856) 794-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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