# EDEN AUTISM SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDEN AUTISM SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629635867
- **Legal business name:** EDEN AUTISM SERVICES
- **Authorized official:** BETH LO (EMR/MEDICAID MANAGER)
- **Authorized official phone:** (609) 608-8531

## Contact information

- **Practice address:** 13104 RUE TERRACE, PLAINSBORO, NJ 08536
- **Practice address phone:** (609) 987-0099
- **Practice address fax:** (609) 987-0243
- **Mailing address:** 2 MERWICH ROAD, 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:** 05/23/2019
- **Last updated:** 05/23/2019