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Organization
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY
Active
Organization
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LYNN HAINES MA (CEO)
(609) 267-6677
Entity
Organization
Contact information
Practice address
4 NEWTOWN LN, WILLINGBORO, NJ 08046-1912
(609) 267-6677
(609) 265-8418
Mailing address
2 MANHATTAN DR, BURLINGTON, NJ 08016-4120
(609) 267-6677
(609) 265-8418
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
GH2274
NJ
Other
Enumeration date
07/16/2015
Last updated
06/10/2019
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