Pennreach
NPI #1649824087 in Woodbridge, New Jersey
Provider Information
- NPI Number
- 1649824087
- Entity Type
- Organization
- Organization Name
- Pennreach
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 24, 2019
- Last Updated
- Jul 24, 2019
Practice Location
- Address
- 1482 RAHWAY AVENUE
- Address 2
- APT 204
- City
- Woodbridge
- State
- New Jersey
- ZIP Code
- 17001-0850
- Phone
- (215) 409-5519
Authorized Official
- Name
- KRYSTAL ODELL
- Title
- CEO
- Phone
- (215) 409-5519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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