Organization
EDEN AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LO (EHR TRAINER/MEDICAID SPECIALIST)
(609) 987-0099
Entity
Organization
Contact information
Practice address
433 A PRINCETON AVE, HAMILTON, NJ 08619-2369
(609) 890-9128
Mailing address
2 MERWICK RD, PRINCETON, NJ 08540-5730
(609) 987-0099
(609) 987-0243
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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