# EDEN AUTISM

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

## Provider details

- **NPI number:** 1811449622
- **Authorized official:** BETH LO (EHR TRAINER/MEDICAID SPECIALIST)
- **Authorized official phone:** (609) 987-0099

## Contact information

- **Practice address:** 4314 TOWN CT N, LAWRENCEVILLE, NJ 08648-4713
- **Practice address phone:** (609) 799-4878
- **Mailing address:** 2 MERWICK RD, PRINCETON, NJ 08540-5730

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016