Organization
SMASH AGENCY LLC
Active
Other names
SMASH
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PATNICK (OWNER)
(609) 218-8128
Entity
Organization
Contact information
Practice address
110 MINE RD, PENNINGTON, NJ 08534-3706
(609) 218-8128
Mailing address
110 MINE RD, PENNINGTON, NJ 08534-3706
(609) 218-8128
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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