Pennreach
NPI #1497300354 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1497300354
- Entity Type
- Organization
- Organization Name
- Pennreach
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 7, 2019
- Last Updated
- Aug 7, 2019
Practice Location
- Address
- 69 MAIN ST APT 914
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024-6909
- Phone
- (215) 409-5519
Authorized Official
- Name
- KRYSTAL ODELL
- Title
- CEO
- Phone
- (609) 529-6510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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