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Organization
LIFETIES, INC TRIAD SPECIAL NEEDS
Active
Organization
LIFETIES, INC TRIAD SPECIAL NEEDS
Active
Parent organization
LIFETIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIES, INC.
Authorized official
MISS MARY M INZANA (C.E.O./FOUNDER)
(609) 771-1600
Entity
Organization
Contact information
Practice address
2205 PENNINGTON RD, EWING, NJ 08638-1212
(609) 771-1600
(609) 530-1648
Mailing address
2205 PENNINGTON RD, EWING, NJ 08638-1212
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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