# LIFETIES, INC TRIAD SPECIAL NEEDS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFETIES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912258146
- **Legal business name:** LIFETIES, INC.
- **Authorized official:** MISS MARY M INZANA (C.E.O./FOUNDER)
- **Authorized official phone:** (609) 771-1600

## Contact information

- **Practice address:** 2205 PENNINGTON RD, EWING, NJ 08638-1212
- **Practice address phone:** (609) 771-1600
- **Practice address fax:** (609) 530-1648
- **Mailing address:** 2205 PENNINGTON RD, EWING, NJ 08638-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 09/27/2012