Innovative Life of New Jersey

NPI #1679240386 in Plainsboro, New Jersey

Provider Information

NPI Number
1679240386
Entity Type
Organization
Organization Name
Innovative Life of New Jersey
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 30, 2021
Last Updated
Aug 30, 2021

Practice Location

Address
2409 HUNTERS GLEN DR
ZIP Code
08536-3864
Phone
(301) 270-4750

Authorized Official

Name
SHINAVIA MCKINNEY
Title
COO
Phone
(301) 270-4750

Specialties & Taxonomy Codes

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

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