Organization
RANCH HOPE COWAN PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DORRELL JR. (CONTROLLER)
(856) 935-1555
Entity
Organization
Contact information
Practice address
45 SAWMILL RD., ALLOWAY, NJ 08001-0325
(856) 935-1555
(856) 935-5189
Mailing address
P.O. BOX 325, 45 SAWMILL RD., ALLOWAY, NJ 08001-0325
(856) 935-1555
(856) 935-5189
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1580
NJ
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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