Organization
MLM L.L.C.
Active
Parent organization
MLM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MLM, LLC
Authorized official
MARIA L MANCUSO (CEO)
(732) 395-9395
Entity
Organization
Contact information
Practice address
115 MOUNTAIN LAKE RD, LITTLE EGG HARBOR TWP, NJ 08087-3702
(732) 395-9395
Mailing address
235 ARCHANGELA AVE, COLONIA, NJ 07067-1731
(732) 395-9395
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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