Organization
EDEN AUTISM SERVICES
Active
Parent organization
EDEN AUTISM SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDEN AUTISM SERVICES
Authorized official
BETH LO (ASST. DIRECTOR OF MEDICAID & EHR)
(609) 608-8531
Entity
Organization
Contact information
Practice address
313 OAK LN, WEST WINDSOR, NJ 08550-3611
(609) 987-0099
(609) 987-0243
Mailing address
2 MERRICK ROAD, PRINCETON, NJ 08540-5730
(609) 987-0099
(609) 987-0243
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476536
—
NJ
Enumeration date
03/14/2022
Last updated
05/11/2023
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