Dungarvin New Jersey, LLC - Clubhouse
NPI #1477142446 in Willingboro, New Jersey
Provider Information
- NPI Number
- 1477142446
- Entity Type
- Organization
- Organization Name
- Dungarvin New Jersey, LLC - Clubhouse
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DUNGARVIN GROUP, INC.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 14, 2021
- Last Updated
- Apr 27, 2023
Practice Location
- Address
- 19 CLUB HOUSE DR
- City
- Willingboro
- State
- New Jersey
- ZIP Code
- 08046-3403
- Phone
- (732) 463-7227
Authorized Official
- Name
- LORI KRESS
- Title
- CEO
- Phone
- (651) 699-0206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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