Organization
BETHEL RIDGE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE NESMITH (EXECUTIVE DIRECTOR)
(908) 221-0801
Entity
Organization
Contact information
Practice address
175 S MAPLE AVE, BASKING RIDGE, NJ 07920-1280
(908) 221-0801
(908) 221-9169
Mailing address
PO BOX 138, BASKING RIDGE, NJ 07920-0138
(908) 221-0801
(908) 221-9169
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH957
NJ
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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