Organization
ONWARD SUPPORT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA DAVIS (CO-OWNER)
(609) 632-3289
Entity
Organization
Contact information
Practice address
72 THERESA ST, EWING, NJ 08618-1531
(609) 632-3289
Mailing address
72 THERESA ST, EWING, NJ 08618-1531
(609) 632-3289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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