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Organization
SPECIAL HOMES OF NEW JERSEY
Active
Organization
SPECIAL HOMES OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE MCKEON M.ED (EXECUTIVE DIRECTOR)
(973) 886-1953
Entity
Organization
Contact information
Practice address
203 HILLSIDE AVE, BOONTON, NJ 07005-1229
(973) 886-1953
(973) 664-1795
Mailing address
203 HILLSIDE AVE, BOONTON, NJ 07005-1229
(973) 886-1953
(973) 664-1795
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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