Organization
PENNREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE BAILO (DIRECTOR)
(215) 475-2401
Entity
Organization
Contact information
Practice address
30B GLORIA ROBINSON CT, JERSEY CITY, NJ 07306-7042
(215) 475-2401
Mailing address
18 S MAIN ST, ALLENTOWN, NJ 08501-1610
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
11/30/2018
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