# RANCH HOPE COWAN PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275787590
- **Authorized official:** MR. WILLIAM DORRELL JR. (CONTROLLER)
- **Authorized official phone:** (856) 935-1555

## Contact information

- **Practice address:** 45 SAWMILL RD., ALLOWAY, NJ 08001-0325
- **Practice address phone:** (856) 935-1555
- **Practice address fax:** (856) 935-5189
- **Mailing address:** P.O. BOX 325, 45 SAWMILL RD., ALLOWAY, NJ 08001-0325
- **Mailing address phone:** (856) 935-1555
- **Mailing address fax:** (856) 935-5189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1580 | NJ | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 11/13/2008