Organization
EDEN AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MARKOWITZ M.A., M.ED (CHIEF OPERATING OFFICER)
(609) 987-0099
Entity
Organization
Contact information
Practice address
2031 OLD TRENTON RD, WEST WINDSOR, NJ 08550-2411
(609) 426-8656
(609) 426-0630
Mailing address
2 MERWICK RD, PRINCETON, NJ 08540-5730
(609) 987-0099
(609) 987-0243
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
03LO13R
NJ
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
03LO13R
NJ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
03LO13R
NJ
Other
Enumeration date
10/26/2012
Last updated
12/27/2012
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