Organization
EDEN AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LO (EHR TRAINER (NOW EHR MGR))
(609) 608-8531
Entity
Organization
Contact information
Practice address
2 MERWICK RD, PRINCETON, NJ 08540-5730
(609) 987-0099
(609) 987-0243
Mailing address
2 MERWICK RD, PRINCETON, NJ 08540-5730
(609) 987-0099
(609) 987-0243
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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