Organization
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LYNN HAINES MA (CEO)
(609) 267-6677
Entity
Organization
Contact information
Practice address
4 NEWTOWN LN, WILLINGBORO, NJ 08046-1912
(609) 267-6677
(609) 265-8418
Mailing address
2 MANHATTAN DR, BURLINGTON, NJ 08016-4120
(609) 267-6677
(609) 265-8418
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
GH2274
NJ
Other
Enumeration date
07/16/2015
Last updated
06/10/2019
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