Organization
EDEN AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LO (MANAGER EHR & MEDICAID)
(609) 608-8531
Entity
Organization
Contact information
Practice address
411 RAVENS ROAD, ROBBINSVILLE, NJ 08691
(609) 987-0099
Mailing address
2 MERWICK ROAD, PRINCETON, NJ 08540-5730
(609) 608-8531
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476536
—
NJ
Enumeration date
08/12/2020
Last updated
08/12/2020
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