Pennreach
NPI #1396300117 in Avenel, New Jersey
Provider Information
- NPI Number
- 1396300117
- Entity Type
- Organization
- Organization Name
- Pennreach
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 7, 2019
- Last Updated
- May 7, 2019
Practice Location
- Address
- 1482 RAHWAY AVENUE
- Address 2
- APT 227
- City
- Avenel
- State
- New Jersey
- ZIP Code
- 07001
- Phone
- (215) 409-5519
Authorized Official
- Name
- PAULINE BAILO
- Title
- DIRECTOR
- Phone
- (215) 409-5519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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