Pennreach

NPI #1427513449 in Westville, New Jersey

Provider Information

NPI Number
1427513449
Entity Type
Organization
Organization Name
Pennreach
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 4, 2019
Last Updated
Feb 4, 2019

Practice Location

Address
1000 BROADWAY APT 115
ZIP Code
08093-1438
Phone
(215) 409-5519

Authorized Official

Name
PAULINE BAILO
Title
DIRECTOR
Phone
(215) 475-2401

Specialties & Taxonomy Codes

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

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