Organization
REFOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GOODMAN EMMERICH M.ED., M.S. (OWNER/PRESIDENT)
(732) 343-1478
Entity
Organization
Contact information
Practice address
200 ROUND HILL DR, FREEHOLD, NJ 07728-8210
(732) 343-1478
Mailing address
PO BOX 7229, FREEHOLD, NJ 07728-7229
(732) 343-1478
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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