Organization
PRISTINE CARE & SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENTLEY YOUNG (CEO)
(609) 224-1099
Entity
Organization
Contact information
Practice address
3121 FIRE RD STE D310, EGG HARBOR TOWNSHIP, NJ 08234-9619
(609) 224-1099
(609) 224-1099
Mailing address
3121 FIRE RD STE D310, EGG HARBOR TOWNSHIP, NJ 08234-9619
(609) 224-1099
(609) 224-1099
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
02/07/2023
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