Pennreach
NPI #1679087142 in Long Branch, New Jersey
Provider Information
- NPI Number
- 1679087142
- Entity Type
- Organization
- Organization Name
- Pennreach
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 20, 2017
- Last Updated
- Nov 20, 2017
Practice Location
- Address
- 213 GARRETT DR
- City
- Long Branch
- State
- New Jersey
- ZIP Code
- 07740-5593
- Phone
- (732) 963-4523
Authorized Official
- Name
- PAULINE BAILO
- Title
- DIRECTOR
- Phone
- (215) 475-2401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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