Organization
DURAND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND CRISTOFOLETTI (EXECUTIVE DIRECTOR)
(856) 235-3540
Entity
Organization
Contact information
Practice address
303 BIRCHFIELD DR, MOUNT LAUREL, NJ 08054-4005
(856) 235-3540
(856) 235-4120
Mailing address
303 BIRCHFIELD DR, MOUNT LAUREL, NJ 08054-4005
(856) 235-3540
(856) 235-4120
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493571
—
NJ
Enumeration date
10/04/2017
Last updated
10/04/2017
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