Organization
PROMISE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL PATEL (EXECUTIVE DIRECTOR)
(732) 658-6117
Entity
Organization
Contact information
Practice address
225 N CENTER DR, NORTH BRUNSWICK, NJ 08902-4247
(732) 658-6117
Mailing address
225 N CENTER DR, NORTH BRUNSWICK, NJ 08902-4247
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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