# STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodbine Developmental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982642641
- **Authorized official:** MR. ROBERT J ARMSTRONG RN, BSN, MSA (CEO)
- **Authorized official phone:** (609) 861-6041

## Contact information

- **Practice address:** 1175 DEHIRSCH AVE, WOODBINE, NJ 08270-2401
- **Practice address phone:** (609) 861-2164
- **Practice address fax:** (609) 861-5176
- **Mailing address:** 1175 DEHIRSCH AVE, WOODBINE, NJ 08270-2401
- **Mailing address phone:** (609) 861-2164
- **Mailing address fax:** (609) 861-5176

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 01/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4472004 | — | NJ |
| 01 | — | 528582 | PROVIDER GROUP | NJ |