# EDEN AUTISM

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

## Provider details

- **NPI number:** 1336661214
- **Authorized official:** BETH LO (EHR TRAINER/MEDICAID SPECIALIST)
- **Authorized official phone:** (609) 987-0099

## Contact information

- **Practice address:** 433 A PRINCETON AVE, HAMILTON, NJ 08619-2369
- **Practice address phone:** (609) 890-9128
- **Mailing address:** 2 MERWICK RD, PRINCETON, NJ 08540-5730
- **Mailing address phone:** (609) 987-0099
- **Mailing address fax:** (609) 987-0243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 07/12/2017