# SPECIAL HOMES OF NEW JERSEY

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

## Provider details

- **NPI number:** 1932659455
- **Authorized official:** TERRENCE MCKEON M.ED. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (973) 886-1953

## Contact information

- **Practice address:** 74 VILLAGE GRN APT 10D, BUDD LAKE, NJ 07828-1379
- **Practice address phone:** (973) 886-1953
- **Practice address fax:** (973) 664-1795
- **Mailing address:** 74 VILLAGE GRN APT 14R, BUDD LAKE, NJ 07828-1379
- **Mailing address phone:** (973) 886-1953
- **Mailing address fax:** (973) 664-1795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/07/2016
- **Last updated:** 04/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0530549 | — | NJ |