Organization
EDEN AUTISM SERVICES
Active
Parent organization
EDEN AUTISM SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDEN AUTISM SERVICES
Authorized official
BETH LO (EHR TRAINER/MEDICAID SPEC.)
(609) 987-0099
Entity
Organization
Contact information
Practice address
309A STANWORTH LN, PRINCETON, NJ 08540-3727
(609) 987-0099
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
06/05/2017
Last updated
06/05/2017
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