Pennreach
NPI #1760960363 in Oceanport, New Jersey
Provider Information
- NPI Number
- 1760960363
- Entity Type
- Organization
- Organization Name
- Pennreach
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 6, 2018
- Last Updated
- Feb 4, 2019
Practice Location
- Address
- 10 GOSSELIN AVE
- City
- Oceanport
- State
- New Jersey
- ZIP Code
- 07757-1243
- Phone
- (215) 409-5519
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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