# MOSS ACHIEVEMENT CENTER, LLC

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

## Provider details

- **NPI number:** 1730344490
- **Authorized official:** JACQUELINE MOSS B.S.P.P. (MANAGING MEMBER)
- **Authorized official phone:** (609) 220-9023

## Contact information

- **Practice address:** 25 ADLER CIR, LUMBERTON, NJ 08048-4501
- **Practice address phone:** (609) 220-9023
- **Practice address fax:** (856) 234-9100
- **Mailing address:** 25 ADLER CIR, LUMBERTON, NJ 08048-4501
- **Mailing address phone:** (609) 220-9023
- **Mailing address fax:** (856) 234-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | PT40QA00500500 | NJ | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 10/24/2008